Kimberly Antoniett Jones, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-63101 Issued in VA

Practice address

14800 Potomac Branch Dr
Woodbridge, VA 22191-4056

Phone

(706) 329-7213

NPI assigned

Jan 21, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spectrum of Care Autism Center

  • Behavior Analyst
  • Woodbridge, VA
  • NPI 1114617735
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1760134712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 POTOMAC BRANCH DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914056",
            "telephone_number": "706-329-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 POTOMAC BRANCH DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914056",
            "telephone_number": "706-329-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KIMBERLY",
        "middle_name": "ANTONIETT",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "GA",
            "license": "0-22-13420",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "18-74133",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-22-63101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Jolley
• Jomia Transport LLC
• Aiesha Chantal Jones
• Ama Konadu Jones
• Khendra Anaya Jones
• Margaret S. Jones, RD
• Miranda L Jones, LPC
• Paul Jones
• Samantha Lauren Jones, PA-C
• Taylor Jones

• All providers in Woodbridge, VA
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.